Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $13,182.57 / $38,904.51	Facility		$16.98	$13,182.57	$38,904.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $6,165.95	Professional		$16.98	$16.98	$6,165.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $30.20	Professional		$16.98	$16.98	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $27.54 / $93.33	Facility		$16.98	$27.54	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $25.70	Facility		$16.98	$16.98	$25.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.78 / $27.54	Professional		$16.98	$17.78	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.98	Facility		$16.22	$16.22	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $19.50	Professional		$16.98	$16.98	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $38.90	Professional		$12.59	$16.98	$38.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $30.20	Professional		$16.98	$19.05	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $31.62 / $44.67	Facility		$16.22	$31.62	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.38 / $20.89	Professional		$16.22	$17.38	$20.89